Deficiency Index

F881 citations in Delaware

Antibiotic stewardship · Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F881 in Delaware. Pick another state for the same tag.

Against expectation — 2025

Delaware cites F881 more often than its own record predicts

Versus expected share1.33×

1.33 times the share F881 takes of citations nationally.

Share of Delaware citations0.64%

Of every deficiency written in Delaware in 2025, this is the portion that was F881.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Delaware surveyors wrote

F881 findings written in Delaware, one from each severity band recorded here, most serious first.

Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.

D · No harm, potential for more than minimal, isolatedAugust 26, 2026

Based on record review, staff interview, and policy review, the facility failed to implement policies and procedures to ensure antibiotics were not used without the presence of a diagnosed infection and failed to complete an infection screening evaluation for one of three residents (Resident (R) 137) reviewed for antibiotic stewardship. The failure had the potential to increase the risk of adverse events, including the development of antibiotic-resistant organisms, resulting from unnecessary or inappropriate antibiotic use. …

Pike Creek Nursing & Rehabilitation Center

C · No harm, potential for minimal, widespreadJanuary 9, 2023

Based on policy review, record review and interview, it was determined that the facility failed to conduct an ongoing review of antibiotic stewardship. Findings include: Review of the undated facility Antibiotic Stewardship policy revealed, #1: Antibiotic stewardship is part of our infection prevention program. Review of the 12/2022 revised facility Infection Control Program policy revealed: The Infection Prevention and Control Officer responsibilities include: The nursing staff maintains the 24-hour report which lists the residents on antibiotics. …

Kutz Rehabilitation and Nursing

The short window

Recent years

YearShare of Delaware citationsvs expected
20230.53%1.14×
20240.35%0.78×
20250.64%1.33×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Delaware surveyors cite →

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